Individual provider Active NPI

Izabela Dlugosz, DDS

  • Dentist
  • Des Plaines, IL
National Provider Identifier
1578736971
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Practice address
501 Alles St Apt 605
Des Plaines, IL 60016-7863
Phone
(847) 297-4235
NPI assigned
Apr 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X IL Primary

Addresses

Primary practice location

501 Alles St Apt 605
Des Plaines, IL 60016-7863

Mailing address

501 Alles St Apt 605
Des Plaines, IL 60016-7863
Phone (847) 297-4235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160426001429 IL Practitioner - Oral Surgery 9830498864 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.027272ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lake CurrentSince Mar 26, 2016 Accepting new patients
NPI 1164446712 CurrentSince Mar 26, 2016 Accepting new patients
County of Lake Current Accepting new patients

Locations

224 W Clarendon Dr
Round Lake Beach, IL 60073
Phone (847) 377-8800

3010 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8296

2400 Belvidere Rd
Waukegan, IL 60085
Phone (847) 377-8400

Interoperability endpoints

  • Direct secure messaging: izabela.dlugosz.p1@direct.lakecountyil.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1578736971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 ALLES ST APT 605",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600167863",
            "telephone_number": "847-297-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ALLES ST APT 605",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600167863",
            "telephone_number": "847-297-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DLUGOSZ",
        "first_name": "IZABELA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.